Healthcare Provider Details

I. General information

NPI: 1265046189
Provider Name (Legal Business Name): JANET DELROSARIO RCP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 09/08/2020
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 IMPERIAL HWY
DOWNEY CA
90242-2812
US

IV. Provider business mailing address

6833 TIKI DR
CYPRESS CA
90630-5756
US

V. Phone/Fax

Practice location:
  • Phone: 562-657-8854
  • Fax:
Mailing address:
  • Phone: 562-760-6014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number29077
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: